NPIMap

Organization Active NPI

Detroit Riverview Hospital Pharmacy

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1285710178
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5301006653 Issued in MI
Legal business name
DETROIT RIVERVIEW HOSPITAL PHARMACY
Practice address
7733 E Jefferson Ave
Detroit, MI 48214-3707
Phone
(313) 449-4031
Fax
(313) 449-4039
NPI assigned
Oct 31, 2006
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Woods
Title
Director
Phone
(586) 753-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5301006653 MI Primary

Addresses

Primary practice location

7733 E Jefferson Ave
Detroit, MI 48214-3707

Mailing address

28000 Dequindre
Warren, MI 48095
Phone (586) 228-4588

Other identifiers 1

IdentifierTypeStateIssuer
50-2323145MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Detroit Macomb-Oakland Hospital Corporation36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1285710178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 DEQUINDRE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-228-4588",
            "fax_number": "586-228-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143707",
            "telephone_number": "313-449-4031",
            "fax_number": "313-449-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT RIVERVIEW HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-753-1199"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301006653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50-2323145",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.